Hand Transplantation versus Prosthetic Substitution in Upper Extremity Amputees: Current Practice and Future ProspectsSalminger S1,2, Hruby LA2,3, Sturma A2,4, Mayer JA2 and Aszmann OC1,2*
- *Corresponding Author:
- Oskar C Aszmann
Division of Plastic and Reconstructive Surgery Department of Surgery
Medical University of Vienna
Waehringer Guertel 18-20, A-1090 Vienna, Austria
E-mail: [email protected]
Received Date: November 04, 2016; Accepted Date: December 19, 2016; Published Date: December 28, 2016
Citation: Salminger S, Hruby LA, Sturma A, Mayer JA, Aszmann OC (2017) Hand Transplantation versus Prosthetic Substitution in Upper Extremity Amputees: Current Practice and Future Prospects. Int J Phys Med Rehabil 5:383. doi: 10.4172/2329-9096.1000383
Copyright: © 2016 Salminger S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Hand transplantation and prosthetic substitution are the only two concepts available to restore hand function after hand loss. However, the indication for either technique must be carefully weighed for each patient. Recent investigations have shown no significant difference between transplanted and prosthetic hands in below elbow amputees. Thus, treatment should be guided by what is most beneficial for the patient with the least risk of harm. Due to frequently encountered side effects of immunosuppression the indication for allotransplantation must still be restrictive, the best being bilateral hand loss.